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CHALLENGE TO SURVIVE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. VANESSA LASANDERS WARD (MEMBER/ORGANIZER)
(252) 200-8608
Entity
Organization

Contact information

Practice address
876 GREEN PASTURE RD, ROCKY MOUNT, NC 27801-9600
(252) 200-8608
Mailing address
876 GREEN PASTURE RD, ROCKY MOUNT, NC 27801-9600
(252) 200-8608

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
07/05/2023
Last updated
12/27/2024
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